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Are the detection, prevention, and prosecution of healthcare fraud the sole responsibility of the BCBS Plan anti-fraud units?

April 26, 2017anti-fraud bcbs detection fraud Healthcare Plan prevention prosecution responsibility sole

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Are the detection, prevention, and prosecution of healthcare fraud the sole responsibility of the BCBS Plan anti-fraud units?

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When BCBS Plan employees detect healthcare fraud, the work is delivered to the proper authorities whose responsibility it is to enforce the law. Typically, government or private attorneys join with judges and juries to prosecute wrongdoing.